Organization
SURPRISE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MINH PHAM MD (CEO)
(623) 876-9983
Entity
Organization
Contact information
Practice address
14239 W BELL RD, SUITE 112, SURPRISE, AZ 85374-2469
(623) 876-9983
(623) 876-9984
Mailing address
14239 W BELL RD, SUITE 112, SURPRISE, AZ 85374-2469
(623) 876-9983
(623) 876-9984
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
28681
AZ
Other
Enumeration date
06/29/2005
Last updated
10/21/2014
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